Instructions to complete the ICS program application form when applying for an ICRH Skills Development Travel Award

Section 1 - Applicant Information

  1. CIHR Personal Identification Number (PIN)
    Enter your CIHR PIN. If you do not have one, visit the new user registration page to register for a PIN and password
  2. Name of applicant
    Provide your family name and given name
  3. Affiliation
    Indicate the name of your host research institution
  4. Institution paid
    Indicate the name of your host research institution where the funds should be sent
  5. Address
    Indicate the Institution address where the payment should be sent
  6. Telephone number
    Indicate your residential telephone
  7. Email
    Provide your Email address

Section 2 - Request for Funding Information

  1. Project title
    Provide a title for the proposed training activity you are applying for
  2. Are you applying as an...
    Select as an "individual"
  3. If you are requesting funds from other CIHR Institutes please indicate them
    Not applicable
  4. If you are requesting funds from other sources then CIHR please indicate them
    Indicate if you have or will request for other travel funds from sources other then CIHR; if yes, please specify the sources
  5. Total amount requested
    Maximum amount that can be requested for a skill update travel award is $1,000
  6. Start date of funding request: month/day/year
    Specify the date (starting and ending dates) of the proposed training activity
  7. Duration of funding request (in months)
    Not applicable
  8. Using the following model, please submit, as an attachment to this application, a budget table that includes names of all funding sources, amounts and timelines requested for his activity
    Not applicable
  9. Provide a justification for the amount and duration of the funding request
    Include a proposed travel itinerary and detailed budget of your expenses

Section 3 - Activity Description

  1. Provide the rational and objective(s) of the funding request
    Not applicable
  2. How does this request align with the Institute's mandate?
    Provide a summary of your present research and its relevance to ICRH's mandate
  3. Provide a description of the activities for which support is being requested
    State the title and relevance of the proposed training activity to the mandate of ICRH
  4. Provide the anticipated outcomes of the funding request
    Please provide this information separately as requested in #4 of the "How to apply" section
  5. Provide information on the anticipated size of the target audience and the specific intended use of the CIHR grant or award
    Not applicable (N/A)
  6. Describe the need for this activity, including a statement why this request cannot be funded under existing CIHR funding programs
    Not applicable (N/A)

Section 4 - Signature

Mandatory

Please email the ICS form and all additional documents to Jennifer Ralph (see below). An original signed ICS form must also be faxed, or scanned and sent by email, or sent by courier to the Institute:

Jennifer Ralph
Project Manager, Institute of Circulatory and Respiratory Health
Canadian Institutes of Health Research (CIHR)
160 Elgin Street, 9th Floor, Ottawa ON K1A 0W9
jennifer.ralph@cihr-irsc.gc.ca
Telephone: 613-941-0086
Facsimile: 613-954-1800

Please note that if the application is funded, the contribution by the Canadian Institutes of Health Research and the Institute of Circulatory and Respiratory Health should be acknowledged on any meeting presentation and publications.